| NPI | 1891096798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN20088) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028516) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2013-10-23 |